Business Organization, Culture, and Internalization 2 Organizational Culture.
Building On an Organization-Wide Culture Change …...Building On an Organization-Wide Culture...
Transcript of Building On an Organization-Wide Culture Change …...Building On an Organization-Wide Culture...
Building On an Organization-Wide Culture Change Initiative:
The Experience at the Village of Wentworth Heights
Jennifer Carson, PhD Candidate University of Waterloo
Carrie McAiney, PhD, Co-PI McMaster University
This research was supported by the Social Sciences and Humanities Research Council
Working Together to Put Living First: A Culture Change Initiative in a Long-
Term Care Organization Guided by Critical Participatory Action Research
Jennifer Carson, PhD Candidate Sherry Dupuis, PhD Supervisor
Appreciative Inquiry Process: AI Summit
Working Together to Put Living
First
Support Advisory Team
• 19 members including 3 residents and 3 family members
• Planned and facilitated AI Summit program content
• Provides support for 11 Village Advisory Teams
• Ongoing steering and evaluation of Schlegel Villages’ culture change initiative
Village Focus Groups Discovery Questions
Discovery
What gives life to the Villages when they are at their best?
Team Member Interviews
Resident Panel
Family Panel
Discovery Data
Dream
Guided by our discoveries, what are our dreams for an ideal future?
Dream Enactments
Design
What would the Villages look like if they were designed perfectly to help us
accomplish our dreams?
Designing Aspiration Statements
Schlegel Villages’ Aspirations
• Promote cross-functional teams
• Create opportunities for meaningful and shared activities
• Connect research and innovation to Village
• Foster authentic relationships life
• Honour diversity in Village life
• Promote resident empowerment
• Offer flexible living
• Offer flexible dining
Example: Flexible Dining
Our Villages are celebrated as industry leaders for our flexible dining program. Our flexible dining honours the residents’ abilities to make choices regarding all aspects of dining including mealtimes and food choices. Our flexible dining invites the broader community to the table, ensuring plenty of room for families, friends, visitors and team members to share in the ritual of eating together. Our homemade and fresh baked meals are tailored to honour individual preferences, and our dining services are offered with care and dignity, ensuring a comfortable and enjoyable experience for each person.
Destiny
What specific activities, actions and processes will enable us to achieve our dreams?
The Village of Wentworth Heights
Operational Planning Goals for 2011
• Create opportunities for meaningful and shared activities
• Offer flexible living
• Offer flexible dining
The Village of Wentworth Heights
Changing the Culture of Aging Road Show
– Presentation and discussions about culture change movement
– Posters about early success stories related to aspirations from all Villages
The Village of Wentworth Heights
Conversation Café
• Discussions and feedback about culture change, aspirations and decision-making within the Village
• 6 resident, 6 family member, and 94 team member conversations
• About 50% knew about Wentworth Heights’ chosen aspirations
• Everyone provided feedback and ideas
Need to include more residents and family members in decision-making
Schlegel Villages’ Operational Planning Retreat 2011
• Success stories and ideas related to our aspirations
• Transforming dementia care
• Authentic partnerships
• Formation of Village Advisory Teams in 2012
The Village of Wentworth Heights
Reaching for New Heights (Village Advisory Team/PiDC Culture Change Coalition)
• Began working with the PiDC Alliance in January 2012
• Comprised of 2 residents, 1 family member, 3 PSWs (Co-Chair), 1 dietary aid, 1 nurse, 1 recreation team member, Director of Food Services (Co-Chair), General Manager, Director of Program Development and Education (also on PiDc research team), PiDC Co-PI, and PiDC Knowledge Translation Specialist
• Meets monthly for 1 hour; ongoing communication in between
• Purpose: to collaboratively promote and advance Wentworth Heights’ aspirations
Reaching for New Heights
Aspiration Education Day
• Awareness and education
• T-shirts for Aspiration Fridays!
Conversation Café
• 11 resident, 15 family member, and 38 team member conversations (vs. 6, 6, and 94 in 2011)
• Residents are choosing when to wake up, and when and where to eat
• Need work on access to snacks at night
• There are more opportunities for spontaneous and self-initiated activities on the neighbourhoods
• Need to work on the “shared” and “meaningful” aspects of activities
Schlegel Villages’ Operational Planning Retreat 2012
• New QI Framework, data and operational goals by neighbourhood
• Success stories and ideas related to our aspirations (‘Marketplace of Ideas’)
• Collaborative, interdisciplinary, daily shift huddles
Reaching for New Heights
Collaboratively developed a new social history tool to better enable a deep knowing of each resident
– Ready for pilot testing
Reviewed quality of life survey data with RFNH team
• Resident self-report (6 weeks and annually; n=41)
• QOL domains aligned with aspirations
• Scores by Village and by neighbourhood with organizational and provincial comparisons
• Discussed how findings relate to our aspirations
• Ideas for continued culture change work
Reaching for New Heights
Working together…
to put living first!